The patient was a 37-year-old male with hemophilia. He was HIV positive and had

Question

The patient was a 37-year-old male with hemophilia. He was HIV positive and had progressed from AIDS-related complex to AIDS in the past 3 months. He had a number of previous admissions, the most recent for pneumocystis carinii pneumonia. His current therapeutic regimen included factor VIII treatments, suppressive trimethoprim-sulfamethoxazole, and azidothymidine (AZT). He presented with a 3-day history of voluminous diarrhea, 10-Ib weight loss, and profound dehydration. Methylene blue stain of stool was negative for white blood cells. An examination for occult blood was also negative. He gave no recent travel history, nor had he recently consumed shellfish.

1. What type of enteric pathogens are usually ruled out by a negative examination of fecal leukocytes and occult blood?

Explanation / Answer

results of stool cultures that are reported as negative usually reflect the fact that the stool culture was checked for the most common pathogens at several intervals an none were found. it means it may be due to another cause. other cause of diarrhea in AIDS PATIENT is drugs. here patient receiving antiretrovirals, that will cause diarrhea.

dirrhea pehaps most common complaint of AIDS patient worldwide. and also diarrhea occures as a result of some opportunistic infections those caused by mycobacterium avium complex, cytomegalovirusetc. here most recently patient got pneumonia. that is a possible reason for diarrhea. also pnuemoniaa caused microorganisms like mycobacterium organism can be found only on endoscopic biopsy, in blood or bone marrow cultures.

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